| Regimental number | 3016 |
| Place of birth | Warracknabeal, Victoria |
| Religion | Methodist |
| Occupation | Carpenter |
| Address | Beaconsfield, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Julia Annie Burrie, Beaconsfield, Victoria |
| Enlistment date | 5 July 1916 |
| Rank on enlistment | Private |
| Unit name | 8th Light Horse Regiment, 22nd Reinforcement |
| AWM Embarkation Roll number | 10/13/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A6 Clan Maccorquodale on 19 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 8th Battalion |
| Fate | Returned to Australia 3 July 1919 |
